Individual
DR. SHIRA NOVACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3 WALNUT ST STE 205, LEMOYNE, PA 17043-1168
(717) 988-0090
(717) 221-5320
Mailing address
3 WALNUT ST STE 205, LEMOYNE, PA 17043-1168
(717) 988-0090
(717) 221-5320
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
293706
NY
2080P0205X
Pediatric Endocrinology Physician
Primary
MD475026
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/20/2015
Last updated
10/13/2021
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